When searching the internet for health information, there are useful and useless sites. Good sites are those based on clinical evidence and written by knowledgeable individuals. On the other hand, there are a lot of sites put together by various crackpots, snake oil salesmen, well-intentioned fools, and knuckleheads. Let's cut to the chase. Here's a great, safe, intelligent place to learn about pediatric eye problems: http://eyewiki.org/Category%3APediatric_Ophthalmology/Strabismus
Mar 08, 2018
Welcome, Dr. Shirali!
Janhavi Shirali, MD
Aug 18, 2017
Do iPads ruin your eyes? Reading in the dark? Studying "too much"? No, no, and no.
What about staring at the sun? Yes!
One of of the only ways to permanently damage yours eyes from looking at something is to look directly into the sun. D'uh! DO NOT DO THIS. A solar eclipse is NO exception to this basic rule.
Here's an excellent article from the American Academy of Ophthalmology explaining how to SAFELY see the eclipse:
Jul 19, 2017
Abnormal Head Positions (AHPs)
Acquired torticollis in infancy is often an adaptive response to an ophthalmic problem. Ocular torticollis/AHP is observed at 3 to 4 months of age. Younger infants don’t have sufficient neck strength to compensate for ocular issues. Ocular AHP disappears during sleep because there are no vision problems to compensate for when the eyes are closed.
May 29, 2017
Parents often ask whether reading "too much" is bad for the eyes. There is no such thing as reading too much - and, no, the eyes are never damaged from reading. In fact, one of the best things for a child's developing brain is to be read to and to read. On a personal note, we really like the Llama Llama books for babies to enjoy listening to and young readers to start with. No less an authority than Ludacris is a fan, too. Check out this video:
May 19, 2017
When parents ask us to, "tell my child that too much iPad will hurt her eyes," they are asking for an answer they might not want to hear.
Feb 07, 2017
We are proud to be taking care of children in Queens and Brooklyn. They are the best kids in the world!
Oct 27, 2016
Your child's exam
Jun 27, 2016
Each eyelash has its own oil gland and there are about 25 additional oil glands within each eyelid. The oil from all of these glands is essential for a properly functioning tear film. Sometimes a gland gets clogged and its oil gets trapped, leaking into the eyelid.
Even though the oil is sterile and perfectly natural, the body’s immune system treats it as a foreign substance. Again, this is not an infection – it is a sterile reaction to a material that doesn’t belong under the skin.
Apr 26, 2016
If the surface of the cornea were perfectly, microscopically smooth like a marble we would describe it as "spherical." However, no body part is perfect and the cornea surface is never perfectly spherical. So, even though the deviation from perfect sphericity is microscopic, with enough deviation the light rays passing through one spot in the cornea will be focused differently from light rays passing through other areas. When one image is focused into two spots, this is astigmatism.
Feb 22, 2016
Duane Syndrome is a form of strabismus where the eye rotations are abnormal due to abnormal innervation from the brain. In other words, the wiring to the eye muscles is misrouted and this causes the eyes to move in abnormal ways.
Feb 09, 2016
Pediatric vision loss
To describe patients with “dull vision” but no obvious pathology ancient Greek physicians used the word “amblyopia.” It was only over the past 60 years or so that animal and human studies have demonstrated treatable pathology is, in fact, present and that amblyopia is reversible.
Jan 06, 2016
Sometimes the lower eyelid has “too much skin” and this causes the eyelashes to roll inwards. This is called epiblepharon.
Dec 09, 2015
Conjunctivitis (“pink eye”) refers to an inflamed conjunctiva (the mucous membrane covering the eye) – it says nothing of the cause. Conjunctivitis is either infectious or non-infectious.
Nov 30, 2015
Strabismus Surgery Expectations
All of us hear what we want to, more or less. Sometimes it doesn't matter. Sometimes it does. When it comes to deciding on surgery it matters. Not listening - hearing only what we want - leads to unrealistic expectations and disappointment.
Nov 04, 2015
Vision occurs in the brain. Our eyes sense light (as images) and convert light into signals that the brain can interpret and understand. Thus, we sense with the eyes but actually see with the brain.
If one eye sends a weak signal (blurred image), the brain will favor the eye that sends the better signal (clear image) and actively shut down the connections from the eye sending it the blurred image. In other words, the vision centers in the brain connected to the eye sending the blurred image do not properly develop. This is called amblyopia.
Nov 04, 2015
Ambliopia (en Espanol)
Visión comienza en los ojos pero en realidad se produce en el cerebro; vemos con el cerebro. El trabajo del ojo es poner las cosas en el enfoque y enviar estas imágenes enfocadas al cerebro; es el cerebro que realmente interpreta y entiende lo que estas imágenes son. Cuando un ojo le envía al cerebro una imagen más clara y enfocada que el otro ojo, el cerebro va a favorecer al ojo que le mande el imagen mas enfocado y el cerebro aprende a ignorar el ojo que envía la imagen borrosa. Los centros de visión en el cerebro que recibe los imágenes borrosas no se desarrollan adecuadamente. Algunas personas le dicen a esto "ojo vago" - el término médico es ambliopía.
Oct 27, 2015
What does strabismus surgery look like?
If you are interested in seeing strabismus surgery performed then "Read More" below.
Oct 26, 2015
Adult strabismus involves much more psychology than pediatric strabismus. Adults have had years to develop feelings related to their eye misalignment and these are often tied into their sense of self-esteem. Many adults talk of feeling "ugly" and not wanting to "look other people in the eye." Some women grow their hair to cover one eye. Some people turn their face constantly to hide the misalignment. Sometimes they were teased as children and, quite often, they were told "nothing can be done" by doctors who did not know better.
Oct 14, 2015
4 year olds
Our typical patient is 4 years old. Most are very cute and well behaved; some are very cute and not-so-well behaved; all of them have a lot to say. We are most fortunate to have this privilege and responsibility - and often quite tired at the end of the day.
Oct 11, 2015
North Queens Surgical Center
Since 2001 our practice has been performing all of its surgery at The New York Eye & Ear Infirmary (NYEEI) at 14th Street and 2nd Avenue. NYEEI is an excellent specialty hospital and has all the nursing and anesthesia specialists one could hope for. However, it's not very convenient for patients in Queens and Brooklyn to travel to the East Village. Mass transit is great there but parking is very difficult. Nobody likes riding home on the subway (and then a bus) after surgery.
Oct 09, 2015
Change for the Better
It has been a rather busy year at PediatricEyeMD. We have made many changes - we hope for the better - but change is never easy. We hope your experience with us remains excellent.
What have we done lately? Well, since you ask...
Aug 27, 2015
Common Myths About Astigmatism
While astigmatism has a funny sounding name, it is no worse (or better) than having myopia (“near sighted”) or hyperopia (“far sighted”). The most accurate way to think of astigmatism is to imagine two spots of light – at least one (and maybe both) are missing their target.
Aug 18, 2015
Astigmatism: My Child Needs Glasses?
In order to see things clearly, the front part of the eye (the cornea and lens) must focus a tiny picture of the object being looked at onto the back of the eye (the retina). This tiny picture inside the eye is called an “image.”
Aug 13, 2015
Why There's No Such Thing As A Lazy Eye
When people use the term “lazy eye,” they are usually trying to convey one of three things…
Aug 04, 2015
Learning More About Exotropia Surgery
Exotropia typically develops in a progressive course. First, the eyes rarely turn outwards, usually when the patient is tired or sick. As you know, when strabismus occurs with fatigue, or only under testing conditions, this is an exophoria.